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Comment & Response
February 2016

Neurosurgeons’ Critical Role in Managing Traumatic Brain Injury

Author Affiliations
  • 1Hofstra North Shore-LIJ School of Medicine, Hempstead, New York
  • 2Department of Neurosurgery, North Shore University Hospital, Manhasset, New York
  • 3Geisinger Health System, Danville, Pennsylvania
  • 4Department of Neurosurgery, Virginia Commonwealth University, Richmond
JAMA Surg. 2016;151(2):199-200. doi:10.1001/jamasurg.2015.3642

To the Editor We read with interest the study by Joseph et al.1 Their Brain Injury Guidelines (BIG) protocol is a local hospital protocol that endeavors to define criteria for the imaging, admission, and management of patients with traumatic brain injury (TBI). The BIG protocol was devised at a level I trauma center with the input of the neurosurgery department, but no neurosurgeon was included on the author panel. In contrast, the American College of Surgeons Trauma Quality Improvement Program recently introduced a best practice document in TBI management, authored cooperatively by neurosurgeons, led by Geoffrey Manley, MD, PhD, and trauma surgeons, among others.2 We assert that all such projects should include neurosurgeons.